<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Merchant_car_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-merchant_car_id" data-rule="required" data-source="merchant/car/index" class="form-control selectpage" name="row[merchant_car_id]" type="text" value="{$row.merchant_car_id}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Insure_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-insure_id" data-rule="required" data-source="insure/index" class="form-control selectpage" name="row[insure_id]" type="text" value="{$row.insure_id}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-price" class="form-control" step="0.01" name="row[price]" type="number" value="{$row.price}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
